{"id":196,"date":"2026-06-10T16:00:34","date_gmt":"2026-06-10T15:00:34","guid":{"rendered":"https:\/\/7c71d11735.nxcli.io\/?page_id=196"},"modified":"2026-06-10T16:00:34","modified_gmt":"2026-06-10T15:00:34","slug":"kidney-diseases","status":"publish","type":"page","link":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/professionals\/kidney-diseases\/","title":{"rendered":"Kidney diseases"},"content":{"rendered":"
<\/div>

Kidney diseases<\/h1><\/div><\/div><\/div><\/div><\/section>
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<\/div><\/div><\/div><\/div><\/div><\/section>

Referral criteria<\/h3>\n

Kidney disease conditions for consideration of referral for an opinion, advice or MMC led care.<\/p>\n

For women requiring MMC led care they are managed in the specialist joint Kidney\/ Obstetric clinic on Thursdays mornings at the RVI or at the regional unit at JCUH<\/p>\n

Lead Maternal Medicine Obstetrician- Dr K Hodson<\/p>\n

Lead Obstetric Nephrologist- Dr L Baines<\/p>\n

JCUH Kidney\/Obstetric Clinic<\/p>\n

Lead Maternal Medicine Obstetrician- Dr D Meneni<\/p>\n

Lead Nephrologist- Dr S Kardasz<\/p>\n<\/div><\/div><\/div><\/div>

Clinical resources<\/h3>\n

UK Kidney Association- <\/strong>Clinical practice guideline pregnancy and renal disease- Pregnancy and Renal Disease | UK Kidney Association<\/strong><\/a><\/p>\n

International society of nephrology- <\/strong>Pregnancy and kidney disease- upskilling kidney health professionals– <\/strong>Pregnancy and Kidney Disease – International Society of Nephrology<\/strong><\/a><\/p>\n

Patient Information<\/h3>\n

Kidney Care UK- <\/strong>Pregnancy and chronic kidney disease– <\/strong>Pregnancy and chronic kidney disease | Kidney Care UK<\/strong><\/a><\/p>\n

Polycystic Kidney disease Charity- <\/strong>ADPKD and pregnancy-ADPKD and pregnancy<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Category A
\nLocal expertise<\/th>		Category B
\nReview, advice and guidance from maternal medicine centre<\/th>		Category C
\nCare led by maternal medicine centre<\/th>\n<\/tr>\n<\/thead>\n
Single kidney<\/td>Lupus nephritis in remission or on treatment<\/td>Active lupus nephritis<\/td>\n<\/tr>\n
Non-Lupus glomerulonephritis\/ tubulointerstitial nephritis
\n-\tNot on immunosuppression
\n-\tStable CKD stage 1-2 and uPCR <100 or uACR <30 and BP <140\/90
\n<\/td>		Non-lupus glomerulonephritis\/ tubulointerstitial nephritis:
\n-On immunosuppression OR
\n-Pre-pregnancy CKD stage 3 OR
\n-uPCR \u2265100 or uACR \u2265 30 OR
\n-BP >140\/90
\n<\/td>		Pre-pregnancy CKD stages 4 and 5<\/td>\n<\/tr>\n
Kidney stones<\/td>Kidney transplant<\/td>Combined kidney-pancreas transplant<\/td>\n<\/tr>\n
Recurrent UTI (no immunosuppression)<\/td>Recurrent UTI on immunosuppression<\/td>Dialysis<\/td>\n<\/tr>\n
Reflux nephropathy with normal kidney function<\/td>Reflux nephropathy with abnormal kidney function<\/td>New renal vasculitis in pregnancy and vasculitis on immunosuppresion<\/td>\n<\/tr>\n
ADPKD with normal kidney function<\/td>ADPKD with abnormal kidney function<\/td>Scleroderma renal crisis<\/td>\n<\/tr>\n
AKI responding to treatment<\/td>AKI not responding to treatment or not resolving post-partum<\/td><\/td>\n<\/tr>\n
AKI due to pre-eclampsia resolved post-partum<\/td>Previous renal vasculitis in remission, no longer on treatment<\/td><\/td>\n<\/tr>\n
<\/td>Previous urinary tract reconstructive surgery<\/td><\/td>\n<\/tr>\n
<\/td>Kidney disease requiring biologic treatment<\/td><\/td>\n<\/tr>\n
<\/td>Progressive kidney disease in pregnancy<\/td><\/td>\n<\/tr>\n
<\/td>Kidney disease on biologic treatment<\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Kidney diseasesReferral criteria Kidney disease conditions for consideration of referral for an opinion, advice or MMC led care. For women requiring MMC led care they are managed in the specialist joint Kidney\/ Obstetric clinic on Thursdays mornings at the RVI or at the regional unit at JCUH Lead Maternal Medicine Obstetrician- Dr K Hodson Lead...","protected":false},"author":1,"featured_media":0,"parent":86,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-196","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/comments?post=196"}],"version-history":[{"count":1,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/196\/revisions"}],"predecessor-version":[{"id":197,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/196\/revisions\/197"}],"up":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/86"}],"wp:attachment":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/media?parent=196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}